What volume would you treat after solitary axillary nodal recurrence after previous lumpectomy in a breast cancer patient without prior radiotherapy?

There's no perfect answer, but in most circumstances, I would favor treating the whole breast as well. An axillary recurrence suggests that there is at least some risk in the residual lymphatics of the breast. In the modern era of planning, in most circumstances, the breast can be treated without ad...

I think there is no perfect answer and depends on the overall protoplasm of the patient, patient's goals, time to recurrence, and worry for micrometastatic disease in the breast. In a very healthy Hughes-ish type patient who has a surprising nodal recurrence, I would be more inclined to treat the br...

In patients without previous RT, my practice has been to treat the breast or chest wall in conjunction with regional nodes. To my knowledge, not great data comparing the 2 approaches so I think ok to go either way.

I would not treat the breast and focus on the regional node only